Clinic
Positive Pathways LLC
Positive Pathways LLC was paid $2.74M by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 34% of everything it billed.
33Billing provider infoPOSITIVE PATHWAYS LLC
PITTSBURGH, PA 15217
PITTSBURGH, PA 15217
33aNPI1083824023assigned 05/22/2007
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$2.74M
24GClaims22,724
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania
Rank by total paid#45 of 89
Median peer was paid$2.74M
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,171 | $224K | |
| 2021 | 6,279 | $661K | |
| 2022 | 4,506 | $553K | |
| 2023 | 4,200 | $559K | |
| 2024incomplete | 5,568 | $747K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 34% | 7,939 | 2,651 | $937K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 24% | 5,672 | 2,237 | $647K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 21% | 4,994 | 2,845 | $567K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 1,105 | 723 | $148K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.5% | 422 | 358 | $125K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.2% | 603 | 505 | $117K |
| H0001 | Alcohol and/or drug assessment | 3.8% | 846 | 786 | $104K |
| H0034 | Medication training and support, per 15 minutes | 3.6% | 1,143 | 456 | $100K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVERDINI, DOMENIC (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| DJV Management | Pittsburgh, PA | $239K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.